CCN: 235348 NPI: 1124061353 Organization

CRESTMONT NURSING CARE CENTER

111 TREALOUT DR
FENTON, MI 484301481

Contact Information

Phone 8106294105
Fax 8106297538
Enumeration Date 2006-06-14
Last Updated 2015-04-10

Taxonomies

Code: 314000000X (Primary) License State: MI License: 254210

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 22420

providerType 38

caseMixIndex 1.0

vbpAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 22420

providerType 38

specialPaymentIndicator

carrierCode 08202

localityCode 99